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Benzodiazepine prescribing in a psychiatric hospital

Larkfield Centre, Garngaber Avenue, Lenzie G66 3UG

Keith W. Brown, Consultant in General Psychiatry and Research Adviser

Central Scotland Healthcare NHS Trust, Larbert

^* Correspondence

Using a case note study, this paper presents a longitudinal survey of the effect of psychiatric in-patient care on benzodiazepine prescribing. Standards were proposed to assess the quality of this prescribing. Based on these standards, the study shows inappropriate use of benzodiazepines. Following admission, there was an increase in the number of patients prescribed benzodiazepines and in the number of benzodiazepines prescribed. Of the benzodiazepines withdrawn, most were contrary to the proposed standard. The quality of drug history showed little emphasis being placed on rationalising benzodiazepine prescribing. The issue of how benzodiazepines should be handled during psychiatric admission is discussed.

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